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Florida rates for HCPCS 50075

Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.56 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.56 / $1,356.21 / $1,768.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.56 / $1,945.90 / $3,051.35
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.68 / $1,073.23 / $1,887.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.60 / $1,392.71 / $1,922.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.00 / $5,172.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.50 / $1,711.66 / $2,960.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.66 / $1,110.66 / $1,110.66